“PILI@Work项目”：将糖尿病预防项目引入夏威夷为夏威夷原住民服务的工作场所。
The PILI@Work Program: a translation of the diabetes prevention program to Native Hawaiian-serving worksites in Hawai'i.
作者信息
Townsend Claire K M, Miyamoto Robin E S, Antonio Mapuana, Zhang Guangxing, Paloma Diane, Basques DeAnna, Braun Kathryn L, Kaholokula Joseph Keawe'aimoku
机构信息
Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawai'i at Mānoa, 677 Ala Moana Blvd, Suite 1016, Honolulu, HI, 96813, USA.
Office of Biostatistics & Quantitative Health Sciences John A Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI, USA.
出版信息
Transl Behav Med. 2016 Jun;6(2):190-201. doi: 10.1007/s13142-015-0383-3.
A previously translated Diabetes Prevention Program Lifestyle Intervention (DPP-LI) was adapted for delivery as a worksite-based intervention, called PILI@Work, to address obesity disparities in Native Hawaiians/Pacific Islanders. This study examined the effectiveness of PILI@Work and factors associated with weight loss at post-intervention. Overweight/obese employees of 15 Native Hawaiian-serving organizations received the 3-month component of PILI@Work. Assessments included weight, systolic/diastolic blood pressure, physical activity and functioning, fat intake, locus of weight control, social support, and self-efficacy. Weight, systolic/diastolic blood pressure, physical functioning, physical activity frequency, fat intake, family support, and eating self-efficacy improved from pre- to post-intervention. Regression analysis indicated that worksite type, decreased diastolic blood pressure, increased physical activity, and more internalized locus of weight control were significantly associated with 3-month weight loss. PILI@Work initiated weight loss in Native Hawaiians/Pacific Islanders. DPP-LI translated to worksite settings and tailored for specific populations can be effective for addressing obesity.
之前翻译过的糖尿病预防计划生活方式干预（DPP-LI）被改编为一项以工作场所为基础的干预措施，称为“工作场所的PILI”，以解决夏威夷原住民/太平洋岛民的肥胖差异问题。本研究调查了“工作场所的PILI”的有效性以及干预后与体重减轻相关的因素。15个为夏威夷原住民服务的组织中的超重/肥胖员工接受了“工作场所的PILI”为期3个月的干预措施。评估内容包括体重、收缩压/舒张压、身体活动与功能、脂肪摄入量、体重控制的控制点、社会支持和自我效能感。从干预前到干预后，体重、收缩压/舒张压、身体功能、身体活动频率、脂肪摄入量、家庭支持和饮食自我效能感均有所改善。回归分析表明，工作场所类型、舒张压降低、身体活动增加以及体重控制的控制点更加内化与3个月的体重减轻显著相关。“工作场所的PILI”使夏威夷原住民/太平洋岛民开始体重减轻。DPP-LI转化为工作场所环境并针对特定人群进行调整后，对于解决肥胖问题可能是有效的。
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